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Anorexia Nervosa: An Object Relations Approach to Primary Treatment

Published online by Cambridge University Press:  02 January 2018

M. Horne  and
M. Gallen
M. Horne*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Stanford University Medical School, California
M. Gallen
Affiliation:
Department of Psychiatry and Behavioral Sciences, Stanford University Medical School, California
*
505 Hamilton Avenue, Suite 3058, Palo Alto, CA 94301, USA
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Extract

Concurrent behaviour therapy and psychotherapy in the treatment of anorexia nervosa creates significant problems in the development of a therapeutic alliance and in the multiple roles staff are required to assume. Our protocol was developed to keep treatment personnel in their usual roles so that their various treatment skills could be fully utilised. A physician treated the anorexia with naso-gastric feeding, freeing the psychotherapist to act in the usual manner. This avoided role confusion, and the split of ‘bad’ and ‘good’ treatment personnel was appropriate and therapeutic, rather than pathological. Four successful cases are described.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 2 , August 1987 , pp. 192 - 194
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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